sothat your time is avilable to others also .
but my bad luck i kept on getting one or the other problem hitting on my already destroyed life .

doctor what i should for this problem .
i know this forum is one of my best source and keeos me floating .

doctor infact iam taking so much of fruits and fruit juices in the day almost 4to 5 times . but this pain is not reducing .

doctor please reply .

with best regards

Response from Dr. Pierone

Hello and nice to hear from you again. If you are still weeping at this point it suggests uncontrolled depression which can has a host of negative health effects. Depression is often neglected in the context of HIV infection and should be managed more proactively. Counseling and antidepressant medications are the mainstay of treatment and work best in combination. Physical exercise helps as well and you have started a walking regimen.

I would not worry about people recognizing that you have AIDS by appearance. As you know the regimen that you are on may cause lipoatrophy (the main culprit is d4T, Zerit), which can produce a thinner face. Not everyone develops this and when it does occur it tends to happen after several years. You should have ample opportunity to change to an alternative if signs start developing. Potential choices to replace Zerit include Ziagen (abacavir) and Viread (tenofovir).

Anal pain is usually due to hemorrhoids, but you should see you doctor to have this evaluated. You have changed you diet with more emphasis on fruits and vegetables. This is a healthy change, but sometimes a diet change can lead to looser stool and this can flare hemorrhoids. So you may need to re-balance your diet, but please check with you doctor to get a diagnosis and treatment. Good luck!

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

The Body is a service of Remedy Health Media, LLC, 750 3rd Avenue, 6th Floor, New York, NY 10017. The Body and its logos are trademarks of Remedy Health Media, LLC, and its subsidiaries, which owns the copyright of The Body's homepage, topic pages, page designs and HTML code. General Disclaimer: The Body is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through The Body should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.